Individual provider Active NPI

Trevor Alan Suyak, APRN, FNP

  • Family Nurse Practitioner
  • Bloomington, IL
National Provider Identifier
1174331920
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209031056 Issued in IL
Practice address
1523 Lafayette Park Dr Unit 6
Bloomington, IL 61701-6800
Phone
(309) 454-1400
NPI assigned
Dec 26, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209031056 IL Primary

Addresses

Primary practice location

1523 Lafayette Park Dr Unit 6
Bloomington, IL 61701-6800

Mailing address

611 W Park St
Fapc
Urbana, IL 61801-2501
Phone (217) 838-3311

Other practice location 1

8914 N Knoxville Ave
Peoria, IL 61615-1410
Phone (309) 691-9110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128000917 IL Practitioner - Nurse Practitioner 4082143664 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proctor Health SystemsGroup PAC ID 3476440173, 131 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Carle West Physician Group IncGroup PAC ID 8921420308, 282 clinicians
Methodist Medical Center of IllinoisGroup PAC ID 1355259714, shared by 8 NPIs, 387 clinicians

Practice addresses (Care Compare)

1120 E War Memorial Dr
Peoria, IL 61616-7757
Phone (309) 685-4411

1909 N Morton Ave
Morton, IL 61550-1426
Phone (309) 263-4343

201 N Cummings LN
Washington, IL 61571-2181
Phone (309) 444-3627

205 N Cummings LN
Suite B
Washington, IL 61571-2181
Phone (309) 691-6610

209 N Cummings LN
Washington, IL 61571-2181
Phone (309) 643-6185

2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222

2535 E Washington St
East Peoria, IL 61611-1863
Phone (309) 694-6464

3024 E Empire St
Bloomington, IL 61704-5402

3591 Griffin Ave
Pekin, IL 61554-6258
Phone (309) 353-6301

3915 Barring Trce
Peoria, IL 61615-2500
Phone (309) 689-6280

5401 N Knoxville Ave
Peoria, IL 61614-5021

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

815 Main St
Suite a
Peoria, IL 61602-1080
Phone (309) 672-4977

8914 N Knoxville Ave
Peoria, IL 61615-1410
Phone (309) 691-9110

Hospital & facility affiliations

  • Carle Health Methodist Hospital Hospital, Peoria, IL, CCN 140209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated CurrentSince Dec 2, 2025 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Oct 1, 2025 Accepting new patients
Proctor Health Systems CurrentSince Feb 1, 2025 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Carle West Physician Group Inc CurrentSince May 20, 2025 Accepting new patients
Proctor Health Systems Current Accepting new patients
Methodist Medical Center of Illinois Family CurrentSince Oct 1, 2025 Accepting new patients
Proctor Health Systems CurrentSince Feb 1, 2025 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients

Locations

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

3310 Fields South Dr
Champaign, IL 61822
Phone (217) 417-2352

200 River Rd
East Peoria, IL 61611
Phone (309) 694-6462

2535 E Washington St
East Peoria, IL 61611
Phone (309) 694-6464

1909 N Morton Ave
Morton, IL 61550
Phone (309) 263-9124

1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590

3591 Griffin Ave
Pekin, IL 61554
Phone (309) 353-1822

8914 N Knoxville Ave
Peoria, IL 61615
Phone (309) 691-9110

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

209 N Cummings Ln
Washington, IL 61571
Phone (309) 643-6185

Interoperability endpoints

  • Direct secure messaging: tsuyakrn321907@carlehiedirect.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1174331920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "address_2": "FAPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012501",
            "telephone_number": "217-838-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 LAFAYETTE PARK DR UNIT 6",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617016800",
            "telephone_number": "309-454-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8914 N Knoxville Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616151410",
            "country_code": "US",
            "telephone_number": "309-691-9110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUYAK",
        "first_name": "TREVOR",
        "middle_name": "ALAN",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-26",
        "last_updated": "2025-08-01",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209031056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.